Jennifer Ann Direnzo, PHARMD

Individual provider Active NPI Pharmacist · Sinking Spring, PA

NPI 1750675211 · NPPES record last updated Jul 18, 2014

Key facts

NPI
1750675211
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
21638 (NC)
Practice address
4810 Penn Ave
Store 1975
Sinking Spring, PA 19608-8601
Phone
(610) 670-9986
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
21638NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21638 NC Yes

Addresses

Primary practice location

4810 Penn Ave
Store 1975
Sinking Spring, PA 19608-8601

Mailing address

4810 Penn Ave
Store 1975
Sinking Spring, PA 19608-8601
Phone (610) 670-9986

Other providers in Sinking Spring, PA

All providers in Sinking Spring, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.